Abstract
Background and Objective:Initiation of Insulin therapy during earlier stages has proved to significantly improve health outcomes among diabetics in comparison to oral medications. Not only patients but physicians are also often resistant to early initiation of insulin therapy. The objective was to assess misconceptions and barriers to early initiation of insulin therapy among diabetic patients coming to a diabetic clinic.Methods:This cross sectional study was conducted on 300 patients selected by convenience sampling arriving in Diabetes Outdoor Clinics of Mayo and Services Hospitals, Lahore during August 2017 to May 2018. The data was entered and analyzed by using SPSS version 17.Results:Out of 300 patients included in study, 39% (n= 117) were males and 61% (n=183) were females. The mean age of the participants at presentation was 48.46±13.15 years with a range of 13 to 80 years. Study participants considered it embarrassing to inject insulin in public place (p-value 0.01). The fear associated with lifelong commitment to insulin therapy once it is started, was also found statistically significant (p-value 0.001)particularly in subjects who have long duration of DM (>5 years).Conclusion:Perceptions of diabetic patients about insulin therapy are still barriers to early initiation of therapy and tend to prevail in Pakistan and around the globe.
Highlights
Diabetes mellitus is a global health problem affecting both developed and resource-limited countries.[1,2] Diabetes is a chronic, progressive illness that causes considerable morbidity related to macro- and micro vascular damage, resulting in psychosocial sequelae.[3,4,5] Significant growing healthcare costs result due to overwhelming prevalence of Diabetes and associated disorders.[6]
Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals
The objective of this study was to assess misconceptions among diabetic patients coming to a diabetic clinic about early initiation of insulin therapy
Summary
Diabetes mellitus is a global health problem affecting both developed and resource-limited countries.[1,2] Diabetes is a chronic, progressive illness that causes considerable morbidity related to macro- and micro vascular damage, resulting in psychosocial sequelae.[3,4,5] Significant growing healthcare costs result due to overwhelming prevalence of Diabetes and associated disorders.[6] It is estimated that approximately 9% of world population (over 415 million people) are suffering from Diabetes Mellitus worldwide.[6] Diabetes contributed to five million deaths and 12% of total global adult health expenditure in. The objective was to assess misconceptions and barriers to early initiation of insulin therapy among diabetic patients coming to a diabetic clinic
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